Cardiology

Early menarche, menopause linked to increased CVD risk

Early menarche, menopause linked to increased CVD risk

Several reproductive variables were independently linked to increased CVD risks.

New long-acting bronchodilator use linked to CV risk in COPD patients

New long-acting bronchodilator use linked to CV risk in COPD patients

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Use of long-acting bronchodilators is linked to cardiovascular risks in patients with COPD.

Mechanically expanded TAVR may benefit high-risk aortic stenosis patients

Mechanically expanded TAVR may benefit high-risk aortic stenosis patients

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MEV aortic valve replacement is noninferior to SEV aortic valve replacement in high-risk patients with aortic stenosis.

Addition of new class of antihypertensive drug effective for lowering BP

Addition of new class of antihypertensive drug effective for lowering BP

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Addition of a new class of antihypertensive drugs to existing treatment greatly decreases SBP in previously medicated patients with HT.

AAFP does not endorse new hypertension guideline

AAFP does not endorse new hypertension guideline

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The AAFP continues to use the 2014 JNC8 guideline instead of the 2017 AHA/ACC update.

Blood pressure decreases more than a decade before death

Blood pressure decreases more than a decade before death

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Blood pressure decreases more than a decade before death in patients older than 60 years.

VTE risk linked to increased television watching

VTE risk linked to increased television watching

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Increased frequency of television viewing may be linked to an increased risk for venous thromboembolism.

DOACs vs warfarin for stroke prevention in atrial fibrillation

DOACs vs warfarin for stroke prevention in atrial fibrillation

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Many direct acting oral anticoagulants may be more beneficial than warfarin.

Endovascular strategy more effective than open repair for ruptured abdominal aortic aneurysms

Endovascular strategy more effective than open repair for ruptured abdominal aortic aneurysms

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Treating patients with ruptured abdominal aortic aneurysms with endovascular strategy over open repair may increase survival and decrease cost.

AHA, ACC release new clinical guideline for managing hypertension in adults

AHA, ACC release new clinical guideline for managing hypertension in adults

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The AHA and ACC have released a new guideline that categorizes more US adults as hypertensive.

Preventing sudden death in young athletes

Preventing sudden death in young athletes

Hypertrophic cardiomyopathy, myocarditis, valvular heart disease, and dilated cardiomyopathy are among the most common causes.

Testosterone treatment may increase risk of venous thromboembolism

Testosterone treatment may increase risk of venous thromboembolism

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Researchers sought to determine the risk of venous thromboembolism associated with use of testosterone treatment.

Managing peripheral artery disease: an updated guideline

Managing peripheral artery disease: an updated guideline

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The AHA/ACC guideline updates the 2005 recommendations on PAD management.

Statin and PCSK9 inhibitor combination more effective at lowering cholesterol

Statin and PCSK9 inhibitor combination more effective at lowering cholesterol

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PCSK9 inhibition produces incremental benefits on coronary disease progression in patients treated with statins.

Ambulatory diuretic therapy lowers costs in decompensated heart failure

Ambulatory diuretic therapy lowers costs in decompensated heart failure

Ambulatory high-dose intravenous diuretic therapy could be cost saving compared with hospitalization for intravenous loop diuretic therapy.

Caffeine does not induce arrhythmias in patients with heart disease

Caffeine does not induce arrhythmias in patients with heart disease

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Caffeine consumption in patients with systolic heart failure does not induce arrhythmias both at rest and during physical exercise.

Folic acid-fortified foods linked to lower risk of congenital heart defects

Folic acid-fortified foods linked to lower risk of congenital heart defects

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Foods fortified with folic acid are associated with a decrease in infants being born with congenital heart defects.

Increased mortality rates in patients with nocturia

Increased mortality rates in patients with nocturia

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Patients who experience nocturia, or frequent urination during the night, may have increased mortality rates.

Common medications can cause or worsen heart failure, cautions AHA

Common medications can cause or worsen heart failure, cautions AHA

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The American Heart Association has published a scientific statement that outlines which medications cause or exacerbate heart failure.

Vagal nerve stimulation does not reduce mortality in heart failure patients

Vagal nerve stimulation does not reduce mortality in heart failure patients

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At 16 months, 30.3% of patients either died or experienced worsening heart failure.

Patients with atrial fibrillation and stroke risk treated with aspirin over oral anticoagulants

Patients with atrial fibrillation and stroke risk treated with aspirin over oral anticoagulants

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Specific patient characteristics predicted the type of therapy more likely to be prescribed.

Coronary artery bypass linked to new-onset diabetes

Coronary artery bypass linked to new-onset diabetes

Coronary artery bypass surgery may lead to metabolic changes, causing new-onset diabetes.

Smartphone app helps circumvent unnecessary testing for chest pain in ED patients

Smartphone app helps circumvent unnecessary testing for chest pain in ED patients

The HEART pathway app provides doctors in the ED with a digital application an already proven method of assessment.

Non-vitamin K antagonist oral anticoagulants may be safe, effective

Non-vitamin K antagonist oral anticoagulants may be safe, effective

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Non-vitamin K antagonist oral anticoagulants perform similarly to warfarin for patients with atrial fibrillation.

Alanine aminotransferase serum levels linked to cardiovascular event risk

Alanine aminotransferase serum levels linked to cardiovascular event risk

Incident events were most common in those within the lowest tertile of basline ALT serum.

FDA warns that misuse of antidiarrheal loperamide can cause severe cardiac events

FDA warns that misuse of antidiarrheal loperamide can cause severe cardiac events

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The FDA warns that the antidiarrheal loperamide can lead to serious cardiac events when taken in high doses.

ART may not reduce HIV-associated arterial inflammation

ART may not reduce HIV-associated arterial inflammation

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Antiretroviral therapy in HIV-positive patients did not decrease the progression of arterial inflammation.

Levonorgestrel, low-dose estrogen associated with lower risk for adverse vascular events among oral contraceptives

Levonorgestrel, low-dose estrogen associated with lower risk for adverse vascular events among oral contraceptives

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Compared with other estrogen doses and progestogen types, low-dose estrogen with levonorgestrel had a decreased risk of adverse events.

Adherence and hypertension in the geriatric patient

Adherence and hypertension in the geriatric patient

Addressing factors that lead to lack of adherence to antihypertensive 
therapy in elderly patients is crucial to improving outcomes.

Survival unimproved with deferred second defibrillation

Survival unimproved with deferred second defibrillation

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Deferred defibrillation was not associated with improved survival.

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